Energy Storage and Lipid Transport Flashcards

1
Q

Glucose is the preferred fuel for tissues, but some have an absolute requirement, what are they?

A

RBCs, kidney medulla, lens of eye no neutrophils.

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2
Q

A stable blood glucose concentrations is essential for brain function, what is it usually and how far does it have to drop for death?

A

5mmol/L is usual and at 0.6mmol/L there will be brain damage/death.

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3
Q

The store of glucose/energy as glycogen:
It is stored as _________ in the ________ and ___________ muscle. It is a __________ consisting of chains of glucose residues, organised like branches of a tree around a diner of protein called ___________, which as as a ________.

A
Granules
Liver
Skeletal
Polymer
Glycogenin 
Primer
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4
Q

Glucose residues in glycogen are linked by what type of bond and why is there more than one?

A

Residues are linked by alpha-1,4-glycosidic bonds with alpha-1,6-glycosidic bonds at branch points every 8-10 residues. There are multiple sites for enzymes to act, meaning rapid release and reduced osmotic effect.

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5
Q

The first step in glycogenesis is: glucose + ATP–> _______________ + ____. This is catalysed by _________ in normal tissues and __________ in the liver.

A

Glucose-6-phosphate
ADP
Hexokinase
Glucokinase

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6
Q

After glucose –> G-6-P in glycogenesis, which enzyme changes it to G-1-P?

A

Phosphoglucomutase.

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7
Q

In the third step of glycogenesis, what must be added to G-1-P to convert it to UDP-glucose + PPi?

A

H2O and UDP.

The enzyme is G-1-P uridyl transferase.

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8
Q

How is UDP glucose incorporated into the glycogen chain, for its growth?

A

nGlycogen residues + UDP-glucose —> n+1 residues + UDP.

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9
Q

In the last step of glycogenesis, which enzymes are used to make a-1,4-glycosidic bonds and which for a-1,6?

A

Glycogen synthase is used for alpha-1,4 bonds and branching enzyme is used for alpha-1,6.

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10
Q

First step of glycogenolysis:
nGlycogen residues + __ —> n-1Glycogen residues + ________________. The enzymes used are __________ ___________ for breaking alpha-1,4 bonds and ____________ _________ for breaking alpha-1,6.

A

Pi
Glucose-1-phosphate
Glycogen dephosphorylase
Debranching enzyme

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11
Q

In the second step of glycogenolysis, which enzymes catalyses the conversion of G-1-P to G-6-P?

A

Phosphoglucomutase.

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12
Q

Why is glycogenesis not a simple reverse of glycogenolysis?

A

Different enzymes allow for simultaneous inhibition and stimulation of pathways.

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13
Q

What happens to the glucose-6-phosphate that’s been obtained from the glycogen in glycogenolysis?

A

In the muscle it feeds into glycolysis and used for energy production, while only in the liver can it be converted completely back into glucose, then released into the blood for use by other tissues.

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14
Q

The liver glycogen acts as a buffer for blood glucose levels, why must skeletal muscle have a differing function?

A

It lacks glucose-6-phosphatase.

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15
Q

What are the rate limiting enzymes of glycogenesis and glycogenolysis?

A

Glycogenesis - glycogen synthase and its reciprocal for
Glycogenolysis - glycogen phosphorylase.
They are controlled by hormones.

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16
Q

Which three hormones control the glycogen store in the liver and how?

A

Glucagon and Adrenaline phosphorylate the rate limiting enzymes of glycogenesis and glycogenolysis to decrease synthesis and phosphorylate the glycogen.
Insulin dephosphorylates the rate determining enzymes to decrease glycogen phosphorylase activity and increase glycogen synthase.

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17
Q

How does the control of skeletal muscle glycogen stores differ from that in the liver?

A

Glucagon has no effect on muscle glucagon stores, but AMP allosterically activates glycogen phosphorylase, which does not happen in the liver.

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18
Q

Glycogen storage diseases are inborn errors of metabolism. The arise from a ____________ or a dysfunction in enzymes of glycogen metabolism. There are 11 types, their incidence varies and the severity depends on the ________\________ affected. Excess glycogen storage leads to ________ damage and diminished leads to ______________ and poor __________ tolerance.

A
Deficiency
Tissue/enzyme
Tissue
Hypoglycaemia
Exercise
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19
Q

Give a couple of examples of glycogen storage diseases.

A

McArdle disease - muscle glycogen phosphorylase deficiency.

Von Gierke’s disease - glucose-6-phosphatase deficiency (leads to a large liver).

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20
Q

Gluconeogenesis is an alternative to glycogen as a source of glucose that is used when and where does it occur?

A

It occurs after 8 hours of fasting, where liver glycogen levels are depleted. It occurs in the liver (and kidney cortex).

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21
Q

What are the 3 main precursors to glucose in gluconeogenesis?

A
Lactate (anaerobic glycolysis of exercising muscle and RBCs - Cori cycle).
Glycerol (from adipose TAG breakdown).
Amino acids (mainly alanine).
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22
Q

Why is there no net synthesis of glucose from acetyl-CoA?

A

Pyruvate dehydrogenase is irreversible, explaining why acetyl-CoA isn’t a gluconeogenesis precursor.

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23
Q

In gluconeogenesis, there are 3 enzymes for steps where the reactions aren’t just simple glycolysis reversals, what are they and how are they regulated?

A

PEPCK (oxaloacetate to phosphoenolpyruvate), fructose-1,6-bisphosphatase (along with PEPCK at major control site) and glucose-6-phosphatase.

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24
Q

How are the 3 key enzymes of gluconeogenesis controlled?

A

Regulation of these enzymes is by hormones responding to starvation, prolonged exercise and stress.
Glucagon and Cortisol increase the amount of PEPCK and the level of activity of fructose-1,6-phosphatase to stimulate gluconeogenesis, whereas
Insulin decrease the amounts/ the activity of F-1,6-Pase to inhibit.

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25
Q

How does the tissue’s source of glucose change over time after having ingested food?

A

2 hours after feeding, glucose comes from the food and generally from 1-10 hours, there is also some from glycogenolysis. After 8-10 hours, glucose is sourced from gluconeogenesis.

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26
Q

When energy intake is excess of requirements, where is it stored and give a property of this molecule that dictates how it must be stored?

A

Lipid storage as triacylglycerol.

It is hydrophobic, so stored in an anhydrous form in specialised tissue (adipose).

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27
Q

Triacylglycerol storage/ mobilisation is under hormonal control and it is a highly efficient energy store, when is it utilised?

A

In pregnancy, exercise, stress and starvation.

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28
Q

Adipocytes have a large lipid _________ in the middle of the, (mainly TAG and ____________ _______), with the cytoplasm and _________ pushed to the edge. They’re typically ___mm in diameter and can _______ as mor fat is added. The average adult has ___kg of fat, with the adipocytes increasing x__ before ________ and increasing the total number.

A
Droplet
Cholesterol ester
Organelles
0.1
Expand
15
4
Dividing
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29
Q

As the first step in TAG metabolism, small intestine fat is broken down into fatty acids and glycerol by which enzyme? Then what happens to it?

A

Pancreatic lipase.
The triacylglycerol is reassembled in the intestinal epithelium, where it is put in a chylomicron for transport passing through the lymph into the blood and then to tissues.

30
Q

Once the TAG has reached the tissues, what is done with it?

A

It is utilised for fatty acid oxidation for energy or stored in adipocytes (hormone sensitive lipase can mobilise stores which are transported by FA albumin to get to tissues - there’s positive glucagon and adrenaline regulation and negative insulin).

31
Q

In which tissues is triacylglycerol not used to derive energy from fatty acid oxidation?

A

Those lacking mitochondria e.g. RBCs, or the brain, as TAGs don’t easily cross the blood brain barrier.

32
Q

What is fat synthesis called, where does it take place and what is the main source of carbon?

A

Lipogenesis mainly takes place in the liver with dietary glucose (consumed in excess), providing the carbon.

33
Q

Lipogenesis 1:
The first step of glycolysis in the cytoplasm produces _________, which goes on to produce acetyl-CoA in the _____________. Acetyl-CoA + OAA condense to form ___________, which travels into the cytoplasm and is then ___________.

A

Pyruvate
Mitochondria
Citrate
Cleaved

34
Q

Lipogenesis 2:
The key _________ acetyl-CoA carboxylase, produces malonyl CoA (a __ C compound) from acetyl CoA. Then the _______ ______ ________ complex builds up fatty acids by the sequential addition of __C units. The processes requires both ___ and _____ (from the pentose phosphate pathway and the malate shuttle).

A
Regulator
3
Fatty acid synthase
2
ATP and NADPH
35
Q

AcetylCoA carboxylase, as a key regulator of lipogenesis, is controlled by hormones and other substances, how?

A

Activity is increased by insulin, as it covalently dephosphorylates and citrate allosterically regulates it.
Activity is decreased by glucagon, adrenaline and AMP.

36
Q

Fatty acid synthesis and beta-oxidation have the opposite outcomes; state which process applies to the list below:
In the mitochondria, not the cytoplasm
Reductive not oxidative
Insulin stimulates it, not inhibits.

A

Beta-oxidation
Fatty acid synthesis
Fatty acid synthesis

37
Q

How is hormone sensitive lipase regulated and what happens to the TAG once it’s been mobilised?

A

HSL is phosphorylated and activated by adrenaline and glucagon.
HSL is dephosphorylated and inhibited by insulin.
Once mobile, the fatty acids travel via FA albumin to the tissues for oxidation and the glycerol heads to the liver for use in gluconeogenesis.

38
Q

How much glycogen should there be in your liver and in your skeletal muscle (kg)?

A

Liver should have 0.1kg and skeletal muscle 0.3kg. As someone becomes obese, this does not change, only the mass of TAG.

39
Q

Lipids are a structurally diverse group of compounds, that are hydrophobic, so insoluble in water and must be transport in the blood bound to carriers, which carriers?

A

~2% are carried but albumin, but this has a limited capacity (~3mmol/L mostly FAs) and the rest (~98%) are carries as lipoprotein particles (phospholipids, cholesterol, cholesterol esters, proteins and TAGs).

40
Q

Order these in the size of their typical plasma concentrations: TAG, phospholipids, total cholesterol, cholesterol esters, free fatty acids and what is the total lips plasma concentration?

A

TAG = 0-2mmol/L, free fatty acids = 0.3-0.8mmol/L, phospholipids = ~2.5mmol/L, cholesterol esters ~ 3.5mmol/L, total cholesterol <5mmol/L (should be).

Total lipids = 4000-8500mg/L (4-8.5g)

41
Q

What leads the classification of phospholipids and what different forms can they take?

A

Phospholipids share non-polar hydrophobic tails and polar heads and what these are determine its classification. They can form a bilayer sheet, a liposome (with an internal cavity for cargo) or micelles (single layer particle lipoproteins).

42
Q

Where does cholesterol come from and what are its uses?

A

Some cholesterol is obtained from the diet, but most is synthesised in the liver. It is an essential component of membranes (as it modulates fluidity), a precursor of steroid hormones and bile acids.

43
Q

What are cholesterol esters used for?

A

How cholesterol is transported around the body - cholesterol esterified with FA by LCAT.

44
Q

What are the components of lipoproteins?

A

Peripheral (ApoC and E) and integral (ApoA and B) Apolipoproteins, a phospholipid monolayer with a small amount of cholesterol and the cargo: TAG/cholesterol ester/fat soluble vitamins (A, D, E and K).

45
Q

There are 5 distinct types of lipoproteins named according to their density and with variable contents, how is their density obtained? Order the lipoproteins from lowest to highest density.

A

Density is obtained by flotation ultracentrifugation with the particle diameter inversely proportional to density.
Chylomicrons, VLDL (main carriers of TAG), IDL, LDL, HDL (main carriers of cholesterol esters).

46
Q

Each class of lipoprotein has a particular complement of associated apolipoproteins, of which there are 6 major ones: __, __, __, __, __, __. ApoB for __DL, __DL and __DL and ApoAI for __DL. ___________ apolipoproteins pass through the phospholipid monolayer, while _________ rests on top.

A
A, B, C, D, E and H
VLDL, IDL, LDL
HDL
Integral
Peripheral
47
Q

What are the two roles of apolipoproteins?

A

Structural - packaging water insoluble lipid.

Functional - act as a cofactors for enzymes and ligands for cell surface receptors.

48
Q

In chylomicron metabolism, which apolipoproteins bind when?

A

Chylomicrons are loaded in the small intestine and ApoB-48 enters before it goes into the lymphatic system, to travel to the thoracic duct where it empties into the left subclavian vein - it acquires ApoC and E in the blood.

49
Q

How does a chylomicron particle elevate its contents?

A

ApoC binds lipoprotein lipase (LPL), which is attached to the endothelial cells of capillaries by adipocytes and muscles. Released fatty acids enter the cells, depleting the chylomicron of its fat content.

50
Q

How is a chylomicron remnant formed and what happens to it?

A

Apo C dissociates when the TAG content on the chylomicron is < 20%, forming a chylomicron remnant. This returns to the liver where a LDL receptor binds to ApoE on the chylomicron remnant, so it’s taken up by receptor mediated endocytosis and lysosomes release the remaining contents for metabolism use.

51
Q

Where are Very Low Density Lipoproteins formed and for what purpose?

A

VLDLs are made in the liver to transport triacylglycerols to other tissues.

52
Q

Which apolipoproteins become associated with VLDL and when?

A

ApoB100 is added when it’s being formed and ApoC and E are added from HDLs in the blood.

53
Q

How do VLDLs deplete their store and what is it used for?

A

VLDLs bind to lipoprotein lipase on endothelial cells in adipose and muscle and starts to become TAG depleted. In muscle, thefatty acids are taken up and used for energy production and in adipose they’re used for resynthesis of TAG and stored as fat.

54
Q

What’s the relationship between VLDLs, IDL and LDLs?

A

As VLDL content drops, it dissociates and returns to the liver. ~30% becomes short lived IDL particles, also taken up by the liver or rebound to LPL to further deplete its TAG content. ~10% IDL loses its ApoC and E to become a LDL, with high cholesterol content.

55
Q

What is a low density lipoproteins primary function?

A

To provide cholesterol from the liver to peripheral tissues which express a LDL receptor and take it up via receptor mediated endocytosis.

56
Q

What do the fact that LDLs don’t have ApoC and E and the fact that they have a long half life mean?

A

They are not efficiently cleared by the liver (liver r captor has a high ApoE affinity). As it’s T1/2 is much longer than that of VLDL or IDL, it stays in the blood for longer and is more susceptible to oxidative damage. Oxidises LDLs are taken up by macrophages, making them foam cells which contribute to the formation of atherosclerotic plaques.

57
Q

What is the importance of ApoB100 on low density lipoproteins, in terms of how it releases its contents?

A

It acts as a ligand for LDL receptors - the receptor-LDL complex is taken up into endosomes, the receptors are recycled to the membrane and the endosome fuses with the lysosomes for digestion to release cholesterol and fatty acids.

58
Q

What control ps LDL receptor expression?

A

The cell’s cholesterol concentration.

59
Q

What are the 3 origins of high density lipoproteins?

A

Nascent HDLs synthesised by the liver and intestines (low TAG content).
HDL particles ‘bud off’ from chylomicrons and VLDLs as they’re digested by LPL.
Free ApoAI can acquire cholesterol and phospholipid from other lipoproteins and cell membranes.

60
Q

How do high density lipoproteins mature?

A

They accumulate phospholipids and cholesterol from cells lining blood vessels. The hollow core progressively fills, taking on a mor globular shape. The transfer of lipids to HDLs doesn’t require enzymes.

61
Q

What ability is important for blood vessels to reduce the likelihood of foam cells and atherosclerotic plaque formation?

A

The ability to emote cholesterol from cholesterol laden cells and return it to the liver.

62
Q

What are the roles of ABCA1 and LCAT?

A

ABCA1 within a cell helps load the cholesterol into the HDLs and LCAT converts it into cholesterol esters.

63
Q

Besides cholesterol going to the liver, where else can HDL contents end up?

A

Cells requiring additional cholesterol can use SR-B1 scavenger receptors for HDLs and the HDLs may exchange cholesterol esters for TAG with VLDL via CETP: cholesterol exchange transfer protein.

64
Q

Name the lipoproteins:
Transport dietary triacylglycerol from the intestine.
Transport of triacylglycerol synthesised in liver to tissues such as adipose tissue for storage.
Short-lived precursor of LDL which transports cholesterol from the liver to tissues.
Transport of cholesterol synthesised in the liver to tissues.
Transport of excess cholesterol from cells to liver
tissues for disposal as bile salts and to cells requiring additional cholesterol.

A
Chylomicron
Very Low Density Lipoprotein
Intermediate Density Lipoprotein
Low Density Lipoproteins
High Density Lipoproteins
65
Q

What are hyperlipoproteinaemias?

A

Raised plasma levels of one or more lipoprotein classes, caused by either over production or under removal. Defects in enzymes/receptors/Apoproteins.

66
Q

There are 6 main classes of hyperlipoproteinaemia, including type I with ________________ in fasting plasma due to defective ____ and type IIa with a defective ____ receptor (associated with Coronary Heart Disease) and type III with raised ____ and chylomicron remnants (also associated with CHD) - rare and caused by election ApoE.

A

Chylomicrons
LPL (lipoprotein lipase)
LDL
IDL

67
Q

List some clinical signs of high levels of cholesterol in the blood.

A

Depositions: Xanthelasma (yellow patches on eyelids), Tendon Xanthoma (nodules on a tendon), Corneal Arcus (obvious white circles around pupils - common in the elderly).

68
Q

How does raised serum LDL lead to atherosclerosis and how might this develop?

A

Foam cells accumulate in the intima of blood vessel walls to form a fatty streak, which evolves into an atherosclerotic plaque. This could grow and encroach an artery lumen, potentially leading to angina or rupturing and triggering acute thrombosis - activates platelet and clotting cascade leading to a stroke or MI.

69
Q

How are hyperlipidaemias treated?

A

First reduce cholesterol and saturated lipids, increase fibre in the diet and in terms of lifestyle, increases exercise and quit smoking (to reduce CV risk). If there is no response, then drugs: Statins reduce cholesterol synthesis by inhibiting HMG-CoA reductase e.g. Atorvostatin or Bile Salt Sequestrants which bind bile salts in the GI tract, forcing the liver to produce more with cholesterol e.g. Colestipol.

70
Q

Cholesterol should ideally test ____mmol/L (1.2 for women) and triglyceride is a fasted sample should be

A
5
4
3
1
2
CVD (cardiovascular disease)